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Individual

JOSHUA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
8611 WHITNEY AVE APT 2A, ELMHURST, NY 11373-3633
(718) 350-6429
Mailing address
8611 WHITNEY AVE APT 2A, ELMHURST, NY 11373-3633
(718) 350-6429

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030354
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
11/16/2020
Last updated
11/16/2020
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